Section 17-1737-83.1 - Out-of-state medical services(a) Out-of-state medical services shall be covered for eligible Hawaii residents visiting in another state. Medical services incurred while visiting in another state shall be covered only when the requirements of temporary absence as stated in section 17-1714-22(d) are met. (1) To receive payment for services incurred out-of-state, the provider shall meet the requirements of section 17-1736-13. In addition: (A) The services were required as they were an emergency;(B) The services were needed and the recipient's health would have been endangered if the recipient had to return to the State of residence; or(C) The State has determined that the services sought are unavailable in Hawaii or more readily available in another state; or(2) Out-of-state Services shall require prior authorization by the department, with the exception to the services indicated in subsection (b), paragraphs (1) and (2).(b) Children under the age of nineteen and children under the age of twenty-one years who are in foster care placement or are covered by subsidized adoption agreements shall be eligible for out-of-state medical services.Haw. Code R. § 17-1737-83.1
[Eff 02/10/97] (Auth: HRS § 346-14) (Imp: 42 C.F.R. §§430(a); 431.52)